THE UNMEASURED VARIABLE

Faith is a vital sign — and almost no one at the bedside is trained to read it.

Decades of peer-reviewed research show that a patient's spiritual life shapes their quality of life, their treatment decisions, and even their survival. We're doing clinical work in every room. The question is whether anyone is tending the patient's spiritual need — and whether the one healthcare professional equipped to do so is in the room at all.

 

This is where Your Faith and Healthcare are Connected.

— EVALUATION

The patient arrives already believing.

For the vast majority of seriously ill patients, faith isn't a topic to raise — it's a reality they walked in with. They are already coping through it. Most say the medical system never meets them there.

88%

of advanced cancer patients say religion and spirituality are personally important in adjusting to their illness.

1Balboni et al., J Clin Oncol, 2007

91%

of advanced cancer patients report having active spiritual needs during care.

2Pearce et al., Support Care Cancer, 2012

92%

of patients agree that health is so much more than just not being sick.

25Harris Poll on behalf of Samueli Integrative Health Programs, 2018

72%

say those needs were minimally supported — or not at all — by the medical system.

1Balboni et al., J Clin Oncol, 2007

BE THE HEALTHCARE PROFESSIONAL WHO MEETS THEM WHERE THEIR NEED IS GREATEST

Join a community of physicians, dentists, and students who bring faith into the exam room with skill and conviction.

— PROGNOSIS

Meaning is the ultimate outcome we're not prescribing.

In the most rigorous end-of-life research, spiritual well-being outperformed depression and every other factor as a predictor of despair. It severed the link between depression and the desire to die.

#1

Spiritual well-being was the single strongest predictor of end-of-life despair — stronger than depression itself.

McClain, Rosenfeld & Breitbart, Lancet, 2003

-.68r

Higher spiritual well-being tracked with sharply lower hopelessness, and lower desire for a hastened death (r = −.51).

McClain et al., Lancet, 2003

66%

of patients with serious illnesses indicated that religious beliefs would influence their medical decisions.

MacLean SD, et al. J Gen Intern Med. 2003

0

Among patients high in spiritual well-being, the link between depression and wanting to die effectively disappeared.

McClain et al., Lancet, 2003

LEARN TO ATTEND TO THE SPIRITUAL NEEEDS OF YOUR PATIENTS WELL

CMDA coaching, continuing education, and clinical resources equip you to support spiritual well-being without leaving your lane.

— RISK

Silent questions that predict a higher death rate.

When faith goes unsupported, it can turn to struggle — and religious struggle is a measurable mortality risk lying undiagnosed in hospital beds. Few are trained to notice it.

+28%

higher risk of death for patients who endorsed "wondered whether God had abandoned me" — after controlling for physical and mental health factors.

Pargament et al., Arch Intern Med, 2001

2x

Mortality tracked with the length and intensity of the struggle. Chronic, unresolved struggle fared worst of all.

Pargament et al., 2001 & 2004

3f

Spiritual coping factors — believing God has abandoned them, questioning God's love, and demonic influence in their situation — each independently predicted greater risk of mortality.

Arch Intern Med, 2001

EQUIP YOURSELF TO SEE THEIR SPIRITUAL STRUGGLE & RESPOND

A patient quietly asking whether God has left them is a spiritual emergency. Become equipped to recognize and respond to it.

— INTERVENTION

The reading only one healthcare professional can take.

Faith left unengaged pushes patients toward futile aggressive care. Community support alone isn't enough — outcomes only turn when the healthcare team itself enters the spiritual conversation. We need to be taking a spiritual history.

2.9x

Patients relying on faith to cope — but unengaged clinically — were nearly 3× as likely to need intensive, life-prolonging care in their final week.

Phelps et al., JAMA, 2009

-81%

When the healthcare team provided spiritual support, ICU deaths fell sharply and hospice enrollment more than doubled.

Balboni et al., JAMA Intern Med, 2013

+28%

higher quality of life near death (or otherwise) for patients whose spiritual needs were supported by their care team.

Balboni et al., J Clin Oncol, 2010

YOU ARE THE MISSING INTERVENTION

The person with both the clinical authority and the theological formation to shepherd a struggling patient is the Christian healthcare professional. Stand with thousands who already do.

Faith is not simply a private matter to ignore. It is a clinical variable — and left unattended, fare worse, have increased fear, and suffer more significantly overall.

— GET INVOLVED

One mission, many ways to get involved.

Whether you are learning, are in practice, you train, you teach, give, or pray — there's a place for you in the work of connecting faith and healthcare.

MEMBERSHIP

Belong to a national community of Christian healthcare professionals from all over the world. Faith support, advocacy, fellowship, and resources for every stage of your life and career.

Your gifts equip healthcare professionals to care for the whole patient, helps restore physicians from burnout, and sends healthcare missionaries where they are needed most.

Find peer community near you — campus ministries, local councils, and specialty networks that keep you from practicing alone.

Continuing education, clinical training, and topics in healthcare to integrate faith into practice with skill and confidence - Free to members.

WATCH & LISTEN

Conversations with clinicians with unique perspectives and Christian healthcare professionals living out their faith at the bedside — wisdom for the calling, on YouTube, on your commute, or wherever you watch and listen.

Short-term international missions dedicated to providing healthcare while spreading the gospel by sending medical, dental and surgical teams around the world.

Short-term missions that provide academic teaching and clinical training upon request from governments, healthcare professional training institutions, and hospitals while building relationships with local colleagues and modelling the compassion, care and love of Jesus.

CMDA National Convention, regional retreats, breakfasts, local gatherings and Bible studies, and overseas tours; gathering together under the banner of our faith and healthcare- connected.

Sources:

All findings above are drawn from observational, peer-reviewed research and describe statistical associations, based on these studies, not proven causation. Figures are presented for advocacy and education.

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  2. Pearce MJ, et al. Unmet spiritual care needs impact well-being in advanced cancer. Support Care Cancer. 2012;20:2269–2276.
  3. McClain CS, Rosenfeld B, Breitbart W. Effect of spiritual well-being on end-of-life despair. Lancet. 2003;361(9369):1603–1607.
  4. Pargament KI, et al. Religious struggle as a predictor of mortality among medically ill elderly patients. Arch Intern Med. 2001;161(15):1881–1885.
  5. Phelps AC, et al. Religious coping and use of intensive life-prolonging care near death. JAMA. 2009;301(11):1140–1147.
  6. Balboni TA, et al. Provision of spiritual support and medical care at the end of life. JAMA Intern Med. 2013;173:1109–1117.
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  9. Atkinson HG, et al. Teaching Third-Year Medical Students to Address Patients' Spiritual Needs in the Surgery/Anesthesiology Clerkship. MedEdPORTAL 2018 Dec 14;14:10784. doi: 10.15766/mep_2374-8265.10784.
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  15. Goldbourt U, et al. Factors predictive of long-term coronary heart disease mortality among 10.059 male Israeli civil servants and municipal employees. Cardiology. 1993;82(2-3):100-21. doi: 10.1159/000175862.
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  20. Silvestri, Gerard A., Sommer, Knittig, Zoller, James S., Nietert, Paul J. “Importance of Faith on Medical Decisions Regarding Cancer Care.” Journal of Clinical Oncology Vol. 21, Iss. 7. April 2003. pp. 1379-1382.
  21. Pargament, K, et al. Religious struggle as a predictor of mortality among medically ill elderly patients: a two-year longitudinal study. Arch Int Med. 2001(Aug);161(15):1881-1885.
  22. Fitchett G, et al. Religious struggle: Prevalence, correlates and mental health risks in diabetic, congestive heart failure, and oncology patients. Int J Psych Med. 2004;34(2):179-196.
  23. Fitchett G, et al. Struggles with the divine in Swiss patients visited by chaplains. J Health Psychol 2014 Aug;19(8):966-76.
  24. King SD,et al. Spiritual or religious struggle in hematopoietic cell transplant survivors. Psychooncology 2017 Feb;26(2):270-277. https://www.apa.org/research/action/religious-spiritual-struggles, accessed 01/2021.
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  27. Bentzen, JS.  In crisis we pray: Religiosity and the COVID-19 pandemic. J Economic Behavior and Organization 2021:192, 541-583.
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